# EXPLORATORY & DIAGNOSTIC IMAGING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205979705
- **Authorized official:** DR. LARRY T JOHNSON MD (ORTHOPAEDIC SURGEON)
- **Authorized official phone:** (214) 333-4200

## Contact information

- **Practice address:** 2301 S HAMPTON RD, SUITE 700, DALLAS, TX 75224-1650
- **Practice address phone:** (214) 333-4200
- **Practice address fax:** (214) 333-9911
- **Mailing address:** 2301 S HAMPTON RD, SUITE 700, DALLAS, TX 75224-1650
- **Mailing address phone:** (214) 333-4200
- **Mailing address fax:** (214) 333-9911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0200X | Radiology Chiropractor | G6311 | TX | — |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | G6311 | TX | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | G6311 | TX | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 09/11/2025